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Investigating Social Ecological Contributors to Diabetes within Hispanics in an Underserved U.S.-Mexico Border Community

Author

Listed:
  • Jean Chang

    (Mel and Enid Zuckerman College of Public Health, Arizona Prevention Research Center, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Mignonne C. Guy

    (Mayo Clinic Arizona, Department of Health Sciences Research, 13400 E. Shea Blvd, Scottsdale, AZ 85259, USA)

  • Cecilia Rosales

    (Mel and Enid Zuckerman College of Public Health, Arizona Prevention Research Center, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Jill G. de Zapien

    (Mel and Enid Zuckerman College of Public Health, Arizona Prevention Research Center, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Lisa K. Staten

    (Richard M. Fairbanks School of Public Health at IUPUI, Indiana University, 714 N. Senate Avenue EF 250, Indianapolis, IN 46202, USA)

  • Maria L. Fernandez

    (Mel and Enid Zuckerman College of Public Health, Arizona Prevention Research Center, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Scott C. Carvajal

    (Mel and Enid Zuckerman College of Public Health, Arizona Prevention Research Center, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

Abstract

Hispanics bear a disproportionate burden of diabetes in the United States, yet relations of structural, socio-cultural and behavioral factors linked to diabetes are not fully understood across all of their communities. The current study examines disparities and factors associated with diabetes in adult Hispanics of Mexican-descent (N = 648) participating in a population survey of an underserved rural U.S.-Mexico border community. The overall rate of diabetes prevalence rate in the sample, based on self-report and a glucose testing, was 21%; much higher than rates reported for U.S. adults overall, for all Hispanic adults, or for Mexican American adults specifically. Acculturation markers and social determinants of health indicators were only significantly related to diabetes in models not accounting for age. Older age, greater BMI (>30), greater waist-to-hip ratio as well as lower fruit and vegetable consumption were significantly related to increased likelihood of diabetes when all structural, cultural, behavioral, and biological factors were considered. Models with sets of behavioral factors and biological factors each significantly improved explanation of diabetes relative to prior social ecological theory-guided models. The findings show a critical need for diabetes prevention efforts in this community and suggest that health promotion efforts should particularly focus on increasing fruit and vegetable consumption.

Suggested Citation

  • Jean Chang & Mignonne C. Guy & Cecilia Rosales & Jill G. de Zapien & Lisa K. Staten & Maria L. Fernandez & Scott C. Carvajal, 2013. "Investigating Social Ecological Contributors to Diabetes within Hispanics in an Underserved U.S.-Mexico Border Community," IJERPH, MDPI, vol. 10(8), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:8:p:3217-3232:d:27636
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    References listed on IDEAS

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    1. De Los Monteros, K.E. & Gallo, L.C. & Elder, J.P. & Talavera, G.A., 2008. "Individual and area-based indicators of acculturation and the metabolic syndrome among low-income Mexican American women living in a border region," American Journal of Public Health, American Public Health Association, vol. 98(11), pages 1979-1986.
    2. Esme Fuller Thomson & Amani Nuru-Jeter & Dawn Richardson & Ferrah Raza & Meredith Minkler, 2013. "The Hispanic Paradox and Older Adults’ Disabilities: Is There a Healthy Migrant Effect?," IJERPH, MDPI, vol. 10(5), pages 1-29, May.
    3. Jennifer J. Salinas & Elizabeth Rocha & Bassent E. Abdelbary & Jennifer Gay & Ken Sexton, 2012. "Impact of Hispanic Ethnic Concentration and Socioeconomic Status on Obesity Prevalence in Texas Counties," IJERPH, MDPI, vol. 9(4), pages 1-15, April.
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    Cited by:

    1. Mario Morales & Maia Ingram & Ramses Sepulveda & Thomas Nuño & Ada M. Wilkinson-Lee & Jill E. Guernsey De Zapien & Scott Carvajal, 2023. "Risk Factors Associated with Diabetes among Mexican-Origin Adults in Southern Arizona," IJERPH, MDPI, vol. 20(12), pages 1-11, June.

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